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Signed, sealed and delivered in <br />the presence of the following witnesses: <br />Signature: <br />Print Name: C� z <br />Signature: <br />Print Name: e YV1- nS-Gros-¢- <br />STATE OF oz- <br />COUNTY OF v e - <br />Mortgagee, Carroll Collins and Janet <br />L. Collins <br />By: <br />Printed Name: arro Collins <br />The foregoing instrument was acknowledged before me, M191, <br />n; f ®physical <br />presence or El online notarization, this )Z day of / e trust , earroll Collins. <br />He/she is � personally known or ❑ produced Iden ification in the form of <br />NOTARIAL SEAL: <br />USA M. "NS4 ROW <br />Notary Public <br />f'— State of Florida <br />Commll HH367670 <br />Expires 3/13/2027 <br />NOTA Y PUBLIC r <br />Print'ed Name: Lick W1, Commission No.: No.: 1-414 3b-7 G - Q <br />Commission expiration: 3 2:7 <br />{Remainder of Page Intentionally Left Blank} <br />